Challenges in the Primary Care of Depression: A Patient Huddle Activity

Derail Depression -- Treatment On Track
0.5 AMA PRA Category 1 Credit(s)
Launch Date:
September 14, 2017
Expiration Date:
The accreditation for this activity has expired.

Primary Audience:

This activity is intended for psychiatrists; primary care physicians; and other healthcare professionals who manage patients with MDD

Relevant Terms:

Major depressive disorder; primary care; collaborative care model; electronic health record; measurement-based care; PHQ-9

Michael Clark, MD

Michael Clark, MD
Associate Professor & Director
Chronic Pain Treatment Program
Department of Psychiatry & Behavioral Sciences
The Johns Hopkins Hospital
Baltimore, MD

Michael R. Clark is the Director of the Adolf Meyer Chronic Pain Treatment Programs in the Department of Psychiatry and Behavioral Medicine and has joint appointments in the Departments of Otolaryngology-Head & Neck Surgery in the School of Medicine and of Mental Hygiene in the Bloomberg School of Hygiene and Public Health.
Dr. Clark specializes in the care of patients with chronic medical illnesses.  He is a member of the Blaustein Pain Treatment Center and the Vestibular & Balance Disorders Center at the Johns Hopkins Medical Institutions.  These interdisciplinary efforts deliver comprehensive medical care to patients with disabling conditions that are refractory to diagnosis and treatment.
A fellow of the Academy of Psychosomatic Medicine, Dr. Clark currently devotes his research work to psychiatric phenomenology of sensory abnormalities such as chronic dizziness and pain, including studies on neuropathic pain.  He serves on the National Institutes of Health Division of Research Grants Risk Prevention and Health Behavior Study Section.

Caroline M. Barnhart, LCSW

Caroline M. Barnhart, LCSW
Behavioral Health
Lancaster General Health
Lancaster, PA

Caroline Thomas Barnhart is a Licensed Clinical Social Worker with over thirty years of health care related work experience. She is currently the Manager of Integrated Behavioral Health at Lancaster General Health/Penn Medicine, where she is leading the effort to integrate behavioral health in primary care settings. 
She earned her Master’s degree in Clinical Social Work from Bryn Mawr College and her bachelor’s degree in Social Work from Millersville University. She recently completed a Certificate in Integrated Behavioral Health and Primary Care through the University of Michigan.

Kathleen C. Dougherty, MD

Kathleen C. Dougherty, MD
Psychiatry and Behavioral Medicine
Lancaster General Health
Lancaster, PA

Dr. Dougherty is the Chair of the Department of Psychiatry of the Lancaster General Health System/ Penn Medicine and the managing physician for their Behavioral Health Specialty group. She is a Distinguished Fellow of the American Psychiatric Association, the past president of the Pennsylvania Psychiatric Society, and has been voted a “Best Doctor in America” by her academic peers every year since 2005.
She is an associate professor of psychiatry at Penn State College of Medicine, where she received the Dean’s Award for Excellence in Teaching. She also is an adjunct associate professor at Drexel, and for the 10 years before moving to LGH was an adjunct associate Professor of Law at Dickinson Law School, where she taught “Law and Psychiatry”.
She is board certified in general adult psychiatry, in geriatric psychiatry, and also in forensic psychiatry, which is the area of overlap between psychiatry and the law. She gives lectures and workshops at various national and state conferences on a variety of topics related to Psychiatry.
1. Identify patients whose MDD is not diagnosed or whose MDD is not being adequately treated in the primary care setting.
2. Create a comprehensive plan to work with patients in managing their MDD.
3. Evaluate specific patient cases to determine when mental health consult is necessary.
4. Design a collaborative plan to work with specialists in managing patients with complicated or difficult-to-treat MDD.
5. Integrate measurement-based tools available in the EHR into the management of patients with MDD.

Accreditation Statement
The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit Designation
The Johns Hopkins University School of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
American Nurses Credentialing Center (ANCC) accepts AMA PRA Category 1 from organizations accredited by the ACCME.
American Academy of Nurse Practitioners National Certification Program accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.
American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME. Physician assistants may receive a maximum of 1.0 AAPA Category 1 CME credit(s) for completing this program.
Full Disclosure Policy Affecting CME Activities
As a provider approved by the Accreditation Council for Continuing Medical Education (ACCME), Johns Hopkins University School of Medicine Office of Continuing Medical Education (OCME) requires attested and signed global disclosure of the existence of all financial interests or relationships with commercial interest from any individual in a position to control the content of a CME activity sponsored by OCME. The following relationships have been reported for this activity:
Michael R. Clark, MD, has reported that he has received consulting fees and served on advisory board for Collegium. In addition, Dr. Clark has received consulting fees from Depomed.
No other planners have indicated that they have any financial interest or relationships with a commercial entity.
Intended Audience
This activity is intended for psychiatrists, primary care physicians, and other health care professionals who manage patients with major depressive disorder (MDD).
Disclaimer Statement
The opinions and recommendations expressed by faculty and other experts whose input is included in this program are their own.  This enduring material is produced for educational purposes only.  Use of Johns Hopkins University School of Medicine name implies review of educational format design and approach.  Please review the complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings and adverse effects before administering pharmacologic therapy to patients.
Note: Grants to investigators at The Johns Hopkins University are negotiated and administered by the institution which receives the grants, typically through the Office of Research Administration. Individual investigators who participate in the sponsored project(s) are not directly compensated by the sponsor, but may receive salary or other support from the institution to support their effort on the project(s).
Supported by an educational grant from Otsuka America Pharmaceuticals, Inc., and Takeda Pharmaceuticals.
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